Employment Application


Call to order 1-800-422-4848

Complete these steps to apply:

  • 1 Desired Position
  • 2 Personal Information
  • 3 Education
  • 4 Employment History
  • 5 Submit a Resume
  • 6 Read & Sign

Which job position are you applying for?

  • 1 Desired Position
  • 2 Personal Information
  • 3 Education
  • 4 Employment History
  • 5 Submit a Resume
  • 6 Read & Sign

Personal information:

If employed and you are under 18, can you furnish a work permit?
Have you filed an application here before?
Have you ever been employed here before?
Are you employed now?
May we contact your present employer?
Are you a U.S. citizen or can you establish that you are an authorized worker?
Are you available to work
Are you on layoff and subject to recall?
Do you have the physical ability to perform all essential duties of the job(s) for which you are applying either with or without reasonable accommodation?
Previous step
  • 1 Desired Position
  • 2 Personal Information
  • 3 Education
  • 4 Employment History
  • 5 Submit a Resume
  • 6 Read & Sign

Education:

Elementary

Years Completed (check)

High School

Years Completed (check)

College/University

Years Completed (check)

Graduate Professional

Years Completed (check)
  • 1 Desired Position
  • 2 Personal Information
  • 3 Education
  • 4 Employment History
  • 5 Submit a Resume
  • 6 Read & Sign

Employment Experience:

Start with your present or last job.  Include military service assignments and volunteer activities. 

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Previous step
  • 1 Desired Position
  • 2 Personal Information
  • 3 Education
  • 4 Employment History
  • 5 Submit a Resume
  • 6 Read & Sign
Upload a Resume
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Please Read

Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, sexual orientation, marital or veteran status, or the presence of a disability or handicap, provided the applicant has the ability to perform the essential functions of the position applied for either with or without a reasonable accommodation.

 

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements or material omissions on this application or any other pre‑employment documents shall result in termination when discovered.  I authorize investigation of all statements contained herein and authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.

 

In consideration of my employment, I agree to conform to the rules and regulations of the Company and agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either the Company or myself and without notice or liability for wages or salary except such earned at the date of such termination.  I understand that no manager, supervisor or representative of management, other than the President (or ranking officer), has any authority to enter into an agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing.

 

I understand that if I am given an offer of employment by the Company, such offer may be conditioned upon the Company receiving an acceptable criminal background check.  If a criminal background screen is requested by the Company, I agree to execute the required authorization forms for the Company to obtain a copy of my criminal history.

 

In the event that I am employed, I understand that regardless of the shift and job that I am first assigned, I may be required to accept a change of job or shift depending on my demonstrated skills after employment and the needs of the Company.  I consent to take any physical or medical examinations, including blood and urine or other tests for alcohol and drugs, requested by the Company in connection with the processing of my application for employment and further agree to take any such physical or medical examinations requested by the Company during my employment (when job-related and consistent with business necessity) if I am offered and accept a job.  I understand that such an examination may be needed in order to determine my competence to perform the job or work for which I was hired, or to identify any physical or mental condition bearing on my job performance.  I understand that refusal to submit to any physical or medical examination ordered by the Company will result in rejection for employment or for disciplinary action up to and including immediate discharge.  I further understand that any information obtained through such exams may be retained by the Company and is exclusively the Company's property.  I also understand that the examinations will be performed by medical personnel, clinics or laboratories qualified to do the necessary work and costs for such examinations will be borne by the Company.

 

By checking the box below labeled "I AGREE" you:
(1) Acknowledge that you want to apply for employment with Madison Communications;
(2) Acknowledge that you have read and understand the Terms detailed above;
(3) Are signing this application using your electronic signature.

Under federal and state law, an electronic signature like this one is just as binding as manually signing a paper document.

Check to complete application:
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